Friedman, Kenneth

Friedman, Kenneth is an individual health care provider with primary practice located at 1700 N Mcmullen Booth Rd Suite A2-B, Clearwater FL 33759-2130. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Friedman, Kenneth can be contacted via phone (727) 725-2719.

Contact Information

Primary practice address
1700 N Mcmullen Booth Rd Suite A2-B Clearwater FL 33759-2130
Phone: (727) 725-2719
Fax: (727) 724-0729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2098 Florida

Profile Details

NPI number 1952388431
LBN Legal business name Friedman, Kenneth
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Dec 5th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952388431 NPPES
Florida Other 65243 BLUE CROSS BLUE SHIELD
Florida Other 2700455 BLUE CROSS BLUE SHIELD

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